Coming off a whirlwind of labor and employment changes in 2023, this year has already gotten off to a fast start requiring facilities to modify their approach to how they deal with their employees. This session will provide an update on those areas of labor and employment law most likely to impact facilities going forward and discuss strategies to minimize potential liability and disruptions to operations.

Nurse Learner Outcome: At the conclusion of this session, participants will gain a better understanding of developments under federal and state law impacting workplace interactions and decision-making.

Learner Objectives:

1. Gain insight into recent federal and state legislation impacting their staff and operations.
2. Understand potential further developments to keep an eye on for the rest of the year.
3. Discuss strategies to minimize liabilities associated with staff.

This interactive lecture provides knowledge, essential tools, best practices and key steps to implement immediately for managed care success. Knowledge of the nuts and bolts of preparing for and working with managed care daily will be given through this deep dive along with system development encompassing contracting, case management and billing. Attendees will leave with tips, tricks and techniques to navigate the many nuances of managed care and how that equates to operational and financial success.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report a knowledge gain of the how to manage Managed Care contracts and maximize the reimbursements available on the post session evaluation.

Learner Objectives:

1.     Describe what aspects of managed care contracts are not being maximized for full reimbursements.
2.     Identify where we stand on a managed care proficiency scale defined by best practices.
3.     Analyze what we are being paid for and if the levels listed are appropriate for our services.
4.     Develop a managed care strategy and game plan to ensure we are not leaking managed care revenue.

This program will provide Michigan skilled nursing facilities an overview of the changes in rate setting, initial and final settlements, and related limits as allowed by the State Plan Amendment 0013 and audit requirements. The rate setting methodology was changed for state fiscal years 2022 and 2023 to recognize the financial toll on providers through the pandemic. The rates will be based on the actual provider costs from their Medicaid cost reports for fiscal year 2022 and 2023. This rate methodology change flows through to the settlement for these years and directly impacts the amount of QAS paid based on these rates. The program will also present the latest information regarding the development of a new reimbursement system for skilled nursing services. MDHHS and HCAM along with other stakeholders have been meeting frequently to design this system. The program will also provide an overview of the MI Health Link transition to a HIDE SNP. Types of D-SNP's will be discussed, along with information regarding how the HIDE SNP transition will effect providers going forward.

Learner Objectives:

1. Describe the changes in Medicaid rate setting, settlement, audit and related variable cost and plant limits for SFY 22-24, along with upcoming SFY 25 changes.
2. Discuss the proposal to revise the current reimbursement methodology potentially effective October 1, 2024.
3. Discuss the MI Health Link program transition to a HIDE SNP and how this will effect providers in Michigan.